Stanton S L, Ozsoy C, Hilton P
Obstet Gynecol. 1983 Feb;61(2):144-7.
The urodynamic questionnaires of 600 consecutive female patients attending a urodynamic clinic with a variety of urologic symptoms were reviewed. Investigations consisted of independent uroflowmetry and either twin-channel subtracted cystometry or videocystourethrography with synchronous bladder pressure and urine flow recordings. Urodynamic evidence of voiding difficulty was defined as a repeated peak flow rate of less than 15 ml/sec or more than 200 ml of residual urine. One hundred ninety-five patients complained of voiding difficulties; this was substantiated in only 87. An additional 12 patients had no symptoms suggestive of impaired voiding, but had urodynamic evidence of voiding difficulty. Symptoms of voiding difficulty were found to be unreliable. Neurologic disease was a significant etiologic finding. Uroflowmetry was advised for patients who were to undergo suprapubic surgery for incontinence or radical pelvic surgery.
回顾了600例因各种泌尿系统症状前往尿动力学诊所就诊的连续女性患者的尿动力学调查问卷。检查包括独立尿流率测定以及双通道减法膀胱测压或同步记录膀胱压力和尿流的膀胱尿道造影。排尿困难的尿动力学证据定义为重复峰值尿流率小于15毫升/秒或残余尿量超过200毫升。195例患者主诉排尿困难；其中仅有87例得到证实。另外12例患者没有提示排尿受损的症状，但有排尿困难的尿动力学证据。发现排尿困难症状不可靠。神经系统疾病是一个重要的病因学发现。建议对因尿失禁接受耻骨上手术或根治性盆腔手术的患者进行尿流率测定。
